2021 DONOR & PURSE INFORMATION
950 W. 15th Street Auburn, IN 46706 #927-0995
Donor Information
Donor Name
*
First Name
Last Name
Company or Group Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
The value of this purse and its contents:
$
*
. (minimum $200)
Name of Purse:
*
Example: "Cozy Night In", "Wine and Dine"
Brand:
Color/Material:
*
Purse Description:
*
Items Inside:
*
I agree to deliver the purse to the United Way office at 950 W 15th Street Auburn by FRIDAY, APRIL 8, 2022.
*
YES
NO (please contact chelsea@unitedwaydekalb.org for more information)
Submit
Should be Empty: